Individual
HOLLIE DENISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1610 N MCCAMPBELL ST, ARANSAS PASS, TX 78336-2912
(361) 727-6142
Mailing address
1610 N MCCAMPBELL ST, ARANSAS PASS, TX 78336-2912
(361) 727-6142
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2082391
TX
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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